Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,328.00 / $8,303.41 / $13,413.92	Facility		$5,328.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.61 / $223.61 / $223.61	Professional		$223.61	$223.61	$223.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $310.14 / $313.05	Facility		$157.33	$310.14	$313.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.50 / $883.75 / $1,025.15	Professional		$745.50	$883.75	$1,025.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $310.14 / $313.05	Facility		$157.33	$310.14	$313.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.80 / $745.50 / $994.00	Professional		$188.80	$745.50	$994.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.20 / $677.67 / $1,033.94	Professional		$449.20	$677.67	$1,033.94